| Intervention |
Specification and Dosage |
Rationale |
| Patient education |
About the condition and the rehabilitation protocol |
To improve the psychological status of the patient and the relatives. |
| Cardiovascular and respiratory training |
Breathing exercises, inspiratory hold exercises |
To control breathing, provide relaxation, strengthen the inspiratory muscles of respiration and improve cardiovascular endurance. |
| In-bed mobility exercises |
Log rolling to either side, long sitting, bedside sitting, standing with and without support, walking with and without assistance. |
To help the patient regain his functional activities. |
| Stretching exercises for distal joint muscles |
Achilles’ tendon - 3 reps with 30 seconds hold |
To maintain the length of the muscle. |
| Strengthening of upper extremity muscles |
With 1 kg weight proceeding to 1.5 and 2 kg weight gradually. 10 reps |
To strengthen the muscles of the arm, forearm, and hand. |
| Strengthening of lower extremity muscles |
Isometric exercises to quadriceps, hamstrings, and back muscles – 10 reps with 10 seconds hold. Gradually progressing to isotonic exercises of quadriceps, hamstrings, and back muscles – 10 reps with 10 seconds hold. |
To strengthen the muscles of the back and knee joint. |
